Individual
MR. REGINALD JAMES MCCOY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPHT, MBA, MPA.
Contact information
Practice address
1101 W NORTH AVE, MELROSE PARK, IL 60160-1526
(708) 731-4400
Mailing address
1101 W NORTH AVE, MELROSE PARK, IL 60160-1526
(708) 731-4400
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
049-140059
IL
Other
Enumeration date
07/07/2011
Last updated
07/07/2011
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